Provider Demographics
NPI:1548598089
Name:CARRIERE, JOSEPH CRAWFORD III (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:CRAWFORD
Last Name:CARRIERE
Suffix:III
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 N TIMBERLAND DR
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75901-4058
Mailing Address - Country:US
Mailing Address - Phone:936-699-2916
Mailing Address - Fax:936-699-2921
Practice Address - Street 1:102 N TIMBERLAND DR
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75901-4058
Practice Address - Country:US
Practice Address - Phone:936-699-2916
Practice Address - Fax:936-699-2921
Is Sole Proprietor?:No
Enumeration Date:2009-11-20
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34746183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist